Questions 188

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ATI RN Comprehensive Predictor 2023 Retake 1 Questions

Extract:

Diagnostic Results
Day 1,1000:
Appearance cloudy (clear).
Color yellow (yellow). pH 5.9 (4.6 to 8).
Protein 3+ (negative).
Specific gravity 1.013 (1.005 to 1.03).
Leukocyte esterase negative (negative).
Nitrites negative (negative).
Ketones negative (negative).
Crystals negative (negative).
Casts negative (negative).
Glucose trace (negative).
WBC 5 (0 to 4). WBC casts none (none).
RBC 1 (less than or equal to 2). RBC casts none (none).
Day 1, 1030:
CBC: Hemoglobin 18.0 g/dL (12 to 16 g/dL).
Hematocrit 35% (37 to 47%).
Platelets 98,000/mm (150,000 to 400,000/mm).


Question 1 of 5

The nurse is initiating the client's plan of care. Which of the following interventions should the nurse plan to implement? Select all that apply.

Correct Answer: A,E,F

Rationale: Antihypertensives manage high blood pressure, 24-hour urine assesses proteinuria, and hourly intake/output monitors fluid status in preeclampsia. Vaginal exams are not routine, low-stimulation is for seizures, betamethasone is for preterm lung maturity, and bed rest (G) is not universally required.

Extract:


Question 2 of 5

A nurse enters a client's room and sees a small fire in the client's bathroom. Identify the sequence of steps the nurse should take.

Correct Answer: D,C,B,A

Rationale: Following the RACE protocol: Rescue transports the client to safety first; Alarm activates the fire alarm; Confine closes windows and doors to contain the fire; Extinguish attempts to put out the fire if safe. This prioritizes client safety and fire containment.

Question 3 of 5

A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about preventing hypoglycemia during exercise. Which of the following instructions should the nurse include?

Correct Answer: B

Rationale: Eating a carbohydrate snack before exercise prevents hypoglycemia by providing glucose for energy. Increasing insulin, exercising at peak insulin times, or decreasing fluids increases hypoglycemia risk.

Question 4 of 5

A nurse is caring for a client who is undergoing electroconvulsive therapy. Which of the following tasks should the nurse delegate to an assistive personnel?

Correct Answer: B

Rationale: Assisting with ambulation is within the assistive personnel's scope, requiring no clinical judgment. Checking condition, witnessing consent, and administering medication require nursing expertise.

Question 5 of 5

A nurse is collecting data from a client who has a new diagnosis of rheumatoid arthritis. Which of the following findings should the nurse expect?

Correct Answer: A

Rationale: Morning stiffness, lasting over 30 minutes, is a hallmark of rheumatoid arthritis due to joint inflammation. Pain is bilateral, fever may occur but is less specific, and weight loss is more common.

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